e-CASES: Polytrauma due to a high-speed car accident (rear passenger with belt)

Female patient victim of a high-speed car accident (rear passenger with belt). At start of care by emergency services, she was found in a coma, Glasgow of 5, with anisocoria (right > left) and a frontal deteriorating scalp wound (15-20 cm) with extensive bleeding. She was intubated prior to transfer to the university hospital.